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€� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320� CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�O�GJ �"J�J� ,�I <br />PROJECTADDRESS <br />owr,e� <br />7enant <br />Electrir,al Contractor <br />3%J rtl <br />Mail P.dtlress <br />Mali Address <br />M1tail qcaress <br />� R W 1 11 i: !_. �j f.� � G P <br />State L�cense Number <br />�.es i �a�e r�s� �, t <br />Proposed Use of Buildir,g — <br />Ciry <br />cp� <br />Ciry <br />S -,�y _�k <br />C GE�� S_1'7�j' <br />�7_��� O <br />Sta�e2ip <br />S:ale¢ip <br />Slate/Zip <br />� <br />Ccr;ract Piice of Work <br />�hone <br />F�one <br />F'hcne <br />P�IIIU' ��Ix� G�''D-G' '7L <br />ContaC, erson (Plar Review) <br />Descnption of Nla1c Ic 8e Done: _I VP. V� �i)(7 i�l`�117 � C}�l/1 ��P !'t F •� {�C 6'V I�V <br />-�� c 1�f-� "v� I�1rx�1 G � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWRYS, MC OR AC CABL[. <br />CITY OF EYERETT LOCAL SALFS TAX CODE IS 3105 <br />�d <br />! have iead and <br />b l9 L-Z98-09£ <br />this appficaficn and knovi !be same to be Uue and <br />govem�ng !his type o( �vork �rill te complefed <br />�f a perm�{ does not pr6sume to give au�horrtv to <br />�oCooS-�75 <br />ien•,a41 �4of <br />dL4�LO 90 bZ �eW <br />